Emily K Berge, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4108-125 Issued in WI

Practice address

1738 Brackett Ave
Eau Claire, WI 54701-4626

Phone

(715) 864-6386

Fax

(715) 514-2116

NPI assigned

Oct 29, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 2, 2024 through Jan 2, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellspring Counseling & Consulting

  • Clinical Social Worker
  • Eau Claire, WI
  • NPI 1679023576
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1467605824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 BRACKETT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014626",
            "telephone_number": "715-864-6386",
            "fax_number": "715-514-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 BRACKETT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014626",
            "telephone_number": "715-864-6386",
            "fax_number": "715-514-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGE",
        "first_name": "EMILY",
        "middle_name": "K",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4108-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42245100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Benware, M.S.
• Michael Benyaich
• Alexis Berg, PA-C
• Jason H Berg, APNP-BC
• Marilyn Berg, OT
• Morgan Berger, DNP, APRN, FNP-C
• Ursula E. Berger, MSW
• Laura Bergh
• Jeffery Joseph Bergman, D.O.
• Taylor Lauren Bergmann, PHARMD

• Mental Health Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.